<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Acc_type')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-acc_type" class="form-control selectpicker" name="row[acc_type]">
                {foreach name="accTypeList" item="vo"}
                    <option value="{$key}" {in name="key" value=""}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shouli_date')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shouli_date" class="form-control datetimepicker" required data-date-format="YYYY-MM-DD" data-use-current="true" name="row[shouli_date]" type="text" value="{:date('Y-m-d')}" />
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Zhanghao')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-zhanghao" class="form-control" name="row[zhanghao]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Password')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-password" class="form-control" name="row[password]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Zhaoshu')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-zhaoshu" class="form-control" name="row[zhaoshu]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Stop_date')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-stop_date" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[stop_date]" type="text" value="{:date('Y-m-d')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control" name="row[name]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" class="form-control" name="row[mobile]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-address" class="form-control" name="row[address]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Card')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card" class="form-control" name="row[card]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_yajin')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_yajin" class="form-control selectpicker" name="row[is_yajin]">
                {foreach name="isYajinList" item="vo"}
                    <option value="{$key}" {in name="key" value="0"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_date')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_date" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[user_date]" type="text" value="{:date('Y-m-d')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Guishu')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-guishu" class="form-control" name="row[guishu]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Zidan')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-zidan" class="form-control" name="row[zidan]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remark" class="form-control" name="row[remark]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>